Miller Alisa B, Issa Osob M, Hahn Emily, Agalab Naima Y, Abdi Saida M
Prog Community Health Partnersh. 2021;15(1):107-116. doi: 10.1353/cpr.2021.0010.
Community-based participatory approaches to research and intervention with ethnically and racially diverse minority groups demonstrate great promise to address health disparities. Refugees as a group have experienced a disproportionate amount of trauma, experience on-going resettlement and acculturative stressors, and have been shown to be at a heightened risk for psychological distress.
This article aims to extend current knowledge by examining best practices for use of community advisory boards (CABs) and youth advisory boards (YABs) to achieve mental health equity among refugee communities.
In order to improve outcomes in refugee communities, public health and mental health research and interventions should aim to engage refugees as active partners on advisory boards. Employing trauma-informed care principles through cultural humility, authentic engagement and power-sharing, recognition of the stigma of mental illness and mental health care, respect for community norms and preferences, and acknowledgement of acculturative and generational differences within refugee communities epitomize best practices in establishing and maintaining meaningful community advisory boards.
Inclusion of trauma-informed CABs community adult and YABs in refugee mental health research and interventions ensures that the work is relevant and meaningful to those who are intended to benefit from these efforts.
基于社区的参与式研究方法以及针对不同种族和族裔少数群体的干预措施,在解决健康差距方面显示出巨大潜力。难民群体经历了过多的创伤,面临持续的重新安置和文化适应压力,并且已被证明心理困扰风险较高。
本文旨在通过研究社区咨询委员会(CABs)和青年咨询委员会(YABs)的最佳实践,以在难民社区实现心理健康公平,从而扩展现有知识。
为改善难民社区的成果,公共卫生和心理健康研究及干预措施应旨在让难民作为咨询委员会的积极伙伴参与其中。通过文化谦逊、真实参与和权力共享来运用创伤知情护理原则,认识到精神疾病和心理健康护理的污名化,尊重社区规范和偏好,并承认难民社区内的文化适应和代际差异,这些是建立和维持有意义的社区咨询委员会的最佳实践典范。
将创伤知情的社区成人咨询委员会和青年咨询委员会纳入难民心理健康研究及干预措施,可确保这项工作对那些旨在从这些努力中受益的人具有相关性和意义。